Telemed J E Health - Telemedicine--a complement to traditional referrals in oral medicine.

Tópicos

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Resumo

TRODUCTION: Introducing telemedicine into clinical practice has not been without difficulties. Within the framework of the European Union project "Health Optimum," telemedicine consultations with specialists at the Department of Oral & Maxillofacial Surgery at Uppsala University Hospital (Uppsala, Sweden) have been offered to dentists in the public dental health service. The aim is to streamline the consultation process, improve/develop the skills of the participating dentists and dental hygienists, and save time and money for patients, healthcare authorities, and society.SUBJECTS AND METHODS: Patient records are collected in a database for demonstration and discussion, and the system is also available for referrals. Both medical and dental photographs and x-rays are digitized in the same system. These can be viewed during telemedicine rounds and by the consultants at the hospital prior to a consultation. Secure, interactive conferencing software is used, which provides a quick, easy, and effective way to share video and data over the Internet. Both parties can demonstrate different parts of an image using a pointer or a drawing system. Conference phones are presently used for verbal communication.RESULTS: Ten patients were discussed during telemedicine rounds (3 males and 7 females), all of whom would normally have been referred to a specialist. As a result of the telemedicine round, 2 were referred to a specialist, whereas diagnoses were made for the other 8, and treatment was suggested. The dental health clinic could thus provide treatment without the need for referral to a consultant.CONCLUSIONS: The telemedicine system described here allows patient care to be provided rapidly and more economically. Future plans include "live" rounds using a videocamera, providing the possibility to relay real-time information about the intraoral situation. A camera is being developed and should preferably be permanently installed chair side.

Resumo Limpo

troduct introduc telemedicin clinic practic without difficulti within framework european union project health optimum telemedicin consult specialist depart oral maxillofaci surgeri uppsala univers hospit uppsala sweden offer dentist public dental health servic aim streamlin consult process improvedevelop skill particip dentist dental hygienist save time money patient healthcar author societysubject method patient record collect databas demonstr discuss system also avail referr medic dental photograph xray digit system can view telemedicin round consult hospit prior consult secur interact conferenc softwar use provid quick easi effect way share video data internet parti can demonstr differ part imag use pointer draw system confer phone present use verbal communicationresult ten patient discuss telemedicin round male femal normal refer specialist result telemedicin round refer specialist wherea diagnos made treatment suggest dental health clinic thus provid treatment without need referr consultantconclus telemedicin system describ allow patient care provid rapid econom futur plan includ live round use videocamera provid possibl relay realtim inform intraor situat camera develop prefer perman instal chair side

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